Combat Sports Website Enquiry

Combat Sports Quote Form
PLEASE NOTE THAT WE CAN ONLY PROVIDE INSURANCE FOR AUSTRALIAN BASED COMPANIES.
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Combat Sports Quote Form
Declaration
I have been truthful and accurate in completing this form and declaration and have not withheld any information likely to affect the terms or the acceptance of this insurance by the Insurer?*

YesNo
I have completed this form personally or, if it has been completed on my behalf, have checked that the questions have been fully and accurately answered?*

YesNo
If there is more than one Insured and all have not signed this application, I acknowledge that I am authorised to sign for and on behalf of the other Insured(s).

Upon acceptance of this Proposal, the terms and conditions of this insurance will be in accordance with this Proposal /Questionnaire, the Product Disclosure Statement, the Schedule and any other document we tell you forms part of your Policy;

If an event occurs during the Period of Insurance which alters any of the information provided in the Proposal, I will promptly notify details of the event to the Insurer;

If I have not complied with the Duty of Disclosure and/or Duty of Utmost Good Faith, a claim made under the Policy may not be met or only met in part.
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Combat Sports Quote Form